Are Prophylactic Antibiotics Required Before Breast Surgery? Even if it is a Clean Case?

👉The use of prophylactic antibiotics depends on:

  • The type of case (clean vs contaminated)
  • As well as patient specific variables such as the presence of a mechanical heart valve or other prosthesis, placement of a prosthesis, such as a tissue expander, and/or other variables.
  • 👉Prolonged prophylactic antibiotics are avoided due to concerns over promoting the incidence of multidrug resistant bacterial infections and because the risks of this strategy outweigh the benefits in reducing postoperative infections.
  • 👉Strong evidence supports a single dose of prophylactic antibiotics prior to breast surgery.
  • 👉There is no evidence that antibiotics improve wound healing aside from decreasing infection rates.
  • 👉There does not appear to be benefit from additional postoperative antibiotics.
  • 👉Patients undergoing re-excision lumpectomy appear to be at increased risk of infection and would also benefit from prophylactic antibiotics. 
  • REFERENCES

    1. The American Society of Breast Surgeons. Surgical site infection and cellulitis after breast and/or axillary surgery.Accessed January 18, 2017
    2. Hall JC, Willsher PC, Hall JL. Randomized clinical trial of single-dose antibiotic prophylaxis for non-reconstructive breast surgery. Br J Surg. 2006;93:1342-1346.
    3. Jones DJ, Bunn F, Bell-Syer SV. Prophylactic antibiotics to prevent surgical site infection after breast cancer surgery. Cochrane Database Syst Rev. 2014;3:CD005360.
    4. Kataria K, Bagdia A, Srivastava A, et al. Are breast surgical operations clean or clean contaminated? Indian J Surg. 2015;77:S1360-S1362. 
    5. Throckmorton AD, Hoskin T, Boostrom SY, et al. Complications associated with postoperative antibiotic prophylaxis after breast surgery. Am J Surg 2009;198:553-556.
    6. Tran CL, Langer S, Broderick-Villa G, et al. Does reoperation predispose to postoperative wound infection in women undergoing operation for breast cancer? Am Surg. 2003;69:852-856.

    👉Rodrigo Arrangoiz MS, MD, FACS cirujano oncology y cirujano de mamá de Sociedad QuirĂşrgica S.C en el America British Cowdray Medical Center en la ciudad de Mexico:

    • Es experto en el manejo del cáncer de mama.

     

    👉Es miembro de la American Society of Breast Surgeons:

    Training:

    • General surgery:

    • Michigan State University:

    • 2004 al 2010

    • Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

    • Fox Chase Cancer Center (Filadelfia):

    • 2010 al 2012

    • Masters in Science (Clinical research for health professionals):

    • Drexel University (Filadelfia):

    • 2010 al 2012

    • Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

    • IFHNOS / Memorial Sloan Kettering Cancer Center:

    • 2014 al 2016

     

    #Arrangoiz

    #Surgeon

    #Cirujano

    #SurgicalOncologist

    #CirujanoOncologo

    #BreastSurgeon

    #CirujanodeMama

    #CancerSurgeon

    #CirujanodeCancer

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